I experience these symptoms....I experience an episode from time to time..I believe that the wake episode is someway related to a recurring nightmare.
While they are extreme and cause discomfort I find myself wanting to experience them rather than pushing them away.
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Originally Posted by Elysium
I experience these too. I like the term "daymare", it makes sense to me.
I agree with T-Bear. These sound like obsessive thoughts and that's what I've always considered them. Two important ways to work through them is to keep talking with your therapist about them and have your therapist work with you to build your "this is only a thought" skill.
When you have these daymares, focus on telling yourself "it is just a thought and thoughts can't hurt people. Only actions can hurt them."
Also, the more energy you give to these thoughts, i.e the more you agonize over them, the bigger and worse they will become. If you can get to a point where you can say "okay...that's not a nice thought, but it IS only a thought and it can't hurt anyone", you are no longer giving it the energy to cause you harm.
It took me some time to learn to work with this, but it takes practice and you really need to work at it every time.
Keep us posted on how it's going. 
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